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1790331080
PAVEL GOZENPUT MEDICAL PC
BROOKLYN, NY
NPI
1790331080
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Entity Type
Organization
Authorized Contact
PAVEL GOZENPUT
President
718-344-4474
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
PAVEL GOZENPUT MEDICAL PC
2083 E 65TH ST
BROOKLYN, NY 11234-5913
Phone number: 718-444-5105
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Mailing Address
PAVEL GOZENPUT MEDICAL PC
2083 E 65TH ST
BROOKLYN, NY 11234-5913
Phone number: 718-444-5105
Copy
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